Third Party Collection Sample Clauses

Third Party Collection. I acknowledge that Pediatric Specialists of Texas may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.

Third Party Collection. I acknowledge that SUNCOAST OB/GYN ALL WOMEN’S may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.

Third Party Collection. I acknowledge and understand that if I fail to pay the charges incurred by me for the medical care and treatment provided by Washington Regional, Washington Regional will undertake collection activities in accordance with the terms of the Washington Regional Financial Assistance and Collection Policy, a copy of which can be obtained at ▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇/▇▇▇▇▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇, which activities may include the assignment of my past-due account to a third- party collection agency and the initiation of Extraordinary Collection Activities as defined in the Financial Assistance and Collection Policy. I further acknowledge and agree that in the event Washington Regional or a third-party collection agency to whom Washington Regional assigns my outstanding account(s) initiates collection efforts to recover any amounts owed by me, then, in addition to the outstanding amount owed and incurred by me for medical care and treatment, I will pay, to the extent permitted by law, any and all costs incurred by Washington Regional or its assignee in pursuing collection, including court costs, pre-judgment and post-judgment interest, and reasonable attorney’s fees. I acknowledge, consent and agree that the federal or state courts situated in Washington County, Arkansas shall serve as the proper venue for any legal proceeding filed to collect any amounts owed by me for medical care and treatment rendered by Washington Regional.

Third Party Collection. We collect personal information from vendor partners that provide goods and services to the University the information includes: (Program Administrators, Please Check All That Apply) The Program Information will be used in the following manor: (Program Administrator, Please Check All That Apply) I hereby consent to the Program and its third party service providers to collect information from me and my child in connection with my child’s participation in the Program.

Third Party Collection. I acknowledge that Alamo City Surgeons may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.

Third Party Collection. I acknowledge that iMED HEALTHCARE ASSOCIATES may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.

Third Party Collection. I acknowledge that ▇▇▇▇▇▇▇ ▇▇▇▇▇, MD | Adult Cardiology may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.

Third Party Collection. I acknowledge that Cardiology Clinic of San Antonio may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.

Third Party Collection. I acknowledge that Summerville Women’s Care may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.